Healthcare Provider Details

I. General information

NPI: 1457727570
Provider Name (Legal Business Name): NEW BEGINNINGS QUALITY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2015
Last Update Date: 08/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 AMBERGATE LN APT 6
CORDOVA TN
38016-3724
US

IV. Provider business mailing address

PO BOX 397
ARLINGTON TN
38002-0397
US

V. Phone/Fax

Practice location:
  • Phone: 901-239-0851
  • Fax:
Mailing address:
  • Phone: 901-239-0851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1000000016858
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. MARY J. YOUNG
Title or Position: FOUNDER/CEO
Credential:
Phone: 901-239-0851